Individual provider Active NPI

Allen Nachum Glied, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1639303357
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054323-1 Issued in NY
Practice address
501 Madison Ave FL 18
New York, NY 10022-5613
Phone
(212) 308-9200
NPI assigned
May 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 054323 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 054323-1 NY Primary

Addresses

Primary practice location

501 Madison Ave FL 18
New York, NY 10022-5613

Mailing address

501 Madison Ave FL 18
New York, NY 10022-5613
Phone (212) 308-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106000121 NY Practitioner - Oral Surgery 5597112086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Western Ontario Schulich School of Dentistry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 Marcus Ave
Suite N10
New Hyde Park, NY 11042-2048
Phone (516) 775-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054323-1NYMDOral and Maxillofacial Surgery (Dentist)
054323NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Comprehensive Orthognathic and Maxillofacial Surgery PC Oral & Maxillofacial Surgery CurrentSince Sep 16, 2023 Accepting new patients
Oms New York Oral Surgery PC Oral and Maxillofacial Surgery CurrentSince Aug 28, 2022 Accepting new patients

Locations

2001 Marcus Ave
Ste N10
New Hyde Park, NY 11042
Phone (516) 775-1818

501 Madison Ave
Fl 18
New York, NY 10022
Phone (212) 308-9200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fty9001@direct.nyp.org
  • Direct secure messaging: aglied@montefioredirect.com
  • Direct secure messaging: aglied18642@sbhny.direct-ci.net
  • Direct secure messaging: aglied51479@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1639303357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225613",
            "telephone_number": "212-308-9200",
            "fax_number": "646-308-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225613",
            "telephone_number": "212-308-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIED",
        "first_name": "ALLEN",
        "middle_name": "NACHUM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "054323",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054323-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.